NPIMap

Individual provider Active NPI

Heather Jay Wagaman, CRNP

  • Family Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1417621376
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024038 Issued in PA
Practice address
100 Corporate Center Dr Ste 100
Camp Hill, PA 17011-1758
Phone
(717) 763-1174
Fax
(717) 763-8960
NPI assigned
Aug 4, 2021
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024038 PA Primary

Addresses

Primary practice location

100 Corporate Center Dr Ste 100
Camp Hill, PA 17011-1758

Mailing address

100 Corporate Center Dr Ste 100
Camp Hill, PA 17011-1758
Phone (717) 763-1174

Other practice location 1

220 Wilson St Ste 109
Carlisle, PA 17013-3650
Phone (717) 249-1929

Other identifiers 1

IdentifierTypeStateIssuer
15298988OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.wagaman.p1@direct.masland.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002668 PA Practitioner - Nurse Practitioner 2264836113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

100 Corporate Ctr Dr
Suite 100
Camp Hill, PA 17011-1758
Phone (717) 763-1174

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Sep 2, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 2, 2025 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

100 Corporate Center Dr
Ste 100
Camp Hill, PA 17011
Phone (717) 763-1174

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: heather.wagaman.p1@direct.masland.nextgenshare.com
  • Direct secure messaging: hwagaman15200@wellspan.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1417621376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE CENTER DR STE 100",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111758",
            "telephone_number": "717-763-1174",
            "fax_number": "717-763-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE CENTER DR STE 100",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111758",
            "telephone_number": "717-763-1174",
            "fax_number": "717-763-8960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Wilson St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170133650",
            "country_code": "US",
            "telephone_number": "717-249-1929",
            "fax_number": "717-249-9332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGAMAN",
        "first_name": "HEATHER",
        "middle_name": "JAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15298988",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.wagaman.p1@direct.masland.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 Wilson St Ste 109",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170133650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.